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Journal of the Society for Health Systems最新文献

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A heuristic approach to nurse scheduling in hospital units with non-stationary, urgent demand, and a fixed staff size. 非固定、紧急需求和固定员工规模的医院单位护士调度的启发式方法。
Journal of the Society for Health Systems Pub Date : 1991-01-01
M W Isken, W M Hancock
{"title":"A heuristic approach to nurse scheduling in hospital units with non-stationary, urgent demand, and a fixed staff size.","authors":"M W Isken,&nbsp;W M Hancock","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present a practical approach to personnel scheduling problems arising in hospital units with demand that is of an urgent nature, cannot be backlogged, and is highly dependent on the time of day. A simple rounding heuristic is combined with a simulated annealing algorithm to obtain near-optimal solutions to large linear integer programming models of these personnel scheduling problems in a reasonable amount of time on a personal computer. The models are designed to complement the current state-of-the-art of commercially available hospital staff scheduling systems.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 2","pages":"24-41"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12997931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decision support systems and the healthcare strategic planning process: a case study. 决策支持系统和医疗保健战略规划过程:案例研究。
Journal of the Society for Health Systems Pub Date : 1991-01-01
D L Lundquist, R M Norris
{"title":"Decision support systems and the healthcare strategic planning process: a case study.","authors":"D L Lundquist,&nbsp;R M Norris","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The repertoire of applications that comprises health-care decision support systems (DSS) includes analyses of clinical, financial, and operational activities. As a whole, these applications facilitate developing comprehensive and interrelated business and medical models that support the complex decisions required to successfully manage today's health-care organizations. Kennestone Regional Health Care System's use of DSS to facilitate strategic planning has precipitated marked changes in the organization's method of determining capital allocations. This case study discusses Kennestone's use of DSS in the strategic planning process, including profiles of key DSS modeling components.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 1","pages":"22-34"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12936739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Straight talk about EIS and DSS. 直接谈谈环境影响评估系统和决策支持系统。
Journal of the Society for Health Systems Pub Date : 1991-01-01
E S Dodson
{"title":"Straight talk about EIS and DSS.","authors":"E S Dodson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The introduction of Executive Information Systems (EIS) to the health-care industry has brought confusion over the relationship between EIS and Decision Support Systems (DSS). This article describes how EIS is distinguished from DSS by its technical origins, the ways decision-makers use both systems, and the process of building and using EIS and DSS. As hospitals become more adept at using the features which EIS technology offers, the inherent differences between EIS and DSS will become even more apparent.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12936736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of health-care workers in the future delivery of health care. 保健工作者在今后提供保健服务中的作用。
Journal of the Society for Health Systems Pub Date : 1991-01-01
L R Kaiser
{"title":"Role of health-care workers in the future delivery of health care.","authors":"L R Kaiser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is no logical, linear way to approach a future in which knowledge and technology explode and new opportunities go hand-in-hand with rapid obsolescence. Teams and task groups will replace the vertical command structures of the past, making teamwork, flexibility, and imagination more important that absolute knowledge. Maximum downward task delegation and decentralization will empower workers at all levels while challenging the assumptions of licensure. As the health-care organization grows more ephemeral, management will become an increasingly subtle art. Visionary skills are essential in a dynamic, rapidly changing society where the past is no longer a guide for the future.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 3","pages":"73-80"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13116931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concepts of designing new delivery models. 设计新交付模型的概念。
Journal of the Society for Health Systems Pub Date : 1991-01-01
S L Green, L C Malkemes
{"title":"Concepts of designing new delivery models.","authors":"S L Green,&nbsp;L C Malkemes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The need for health-care organizations to deliver high-quality care that is affordable, while maintaining high morale and productivity among employees, has become a central concern for hospital executives. This article addresses the internal and external pressures that are resulting in hospitals wanting to and having to do things in dramatically different ways. The assumptions, success factors, and approaches to redesign are discussed in relation to the decision to redesign, with attention to factors that should be taken into account in the redesign process, and issues and processes of putting the redesign in place. An example of patient-care redesign with case management is included.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 3","pages":"14-24"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13117676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resource scheduling: from theory to practice. 资源调度:从理论到实践。
Journal of the Society for Health Systems Pub Date : 1991-01-01
R J Giglio
{"title":"Resource scheduling: from theory to practice.","authors":"R J Giglio","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 2","pages":"2-6"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12922958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leadership transitions and the impact on patient care. 领导过渡和对病人护理的影响。
Journal of the Society for Health Systems Pub Date : 1991-01-01
T N Gilmore
{"title":"Leadership transitions and the impact on patient care.","authors":"T N Gilmore","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Leadership transitions are increasing dramatically in hospitals, both at the very top and in top roles such as nursing, operations, finance, medical staff, and so on. Increasingly, new leaders will articulate the importance of \"customer orientations\" as one of their strategic themes because of the importance of being more market-driven in today's environment. This article explores the strengths and potential pitfalls in both articulating a theme about becoming more patient-centered and implementing that theme in a complex organization so that it actually shapes transactions between front-line staff and patients. The article closes with a discussion of the dilemmas of sustaining a complex initiative across time when many of the key leaders in an organization will inevitably be changing during that time.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 3","pages":"59-72"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13116930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing a computerized operating room management system. 实施电脑化手术室管理系统。
Journal of the Society for Health Systems Pub Date : 1991-01-01
M Choy
{"title":"Implementing a computerized operating room management system.","authors":"M Choy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Queen's Medical Center implemented a computerized operating room management system in 1987 that includes surgery scheduling, intraoperative recording, and resource tracking. In addition to the important functional components, the system provides management with a better tool for decision-making. The purpose of this article is to describe this implementation. Background is provided to identify the manual system's deficiencies followed by the anticipated benefits of the computer system. The paper concentrates on Queen's implementation experiences in coding the surgical procedure information, confronting staff anxiety, managing the changing roles of the staff and providing adequate resources. Minimum requirements for a successful implementation include designating an effective project leader, assigning system responsibilities to the user, relieving all operational responsibilities from key members of the project team and providing adequate resources to support the system.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 2","pages":"103-19"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12922957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge-based schedule formulation and maintenance under uncertainty. 不确定条件下基于知识的计划制定与维护。
Journal of the Society for Health Systems Pub Date : 1991-01-01
D Lukman, J H May, L J Shuman, H B Wolfe
{"title":"Knowledge-based schedule formulation and maintenance under uncertainty.","authors":"D Lukman,&nbsp;J H May,&nbsp;L J Shuman,&nbsp;H B Wolfe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper is concerned with the dual sequential problems of (1) determining an acceptable personnel schedule over a specified time period, and (2) adjusting that schedule during the course of its execution in reaction to daily changes in both demand and available personnel. The first problem is schedule formulation; the second sequential problem is schedule execution. A rule-based, hierarchical system has been developed for first modeling and then solving both the schedule formulation and the schedule execution problems as a two-phase dependent process. The system is applied to the scheduling and staffing of nurses. A double-blind evaluation was conducted, which ascertained the quality of the resultant schedules in terms of maintainability, coverage, and personal satisfaction. The evaluation indicates that for units on which personnel changes have occurred, the prototype appears to perform as well as human schedulers.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 2","pages":"42-64"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12922959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continuous personnel scheduling algorithms: a literature review. 连续人员调度算法:文献综述。
Journal of the Society for Health Systems Pub Date : 1991-01-01
D J Bradley, J B Martin
{"title":"Continuous personnel scheduling algorithms: a literature review.","authors":"D J Bradley,&nbsp;J B Martin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hospitals frequently use personnel scheduling options as recruiting and retention instruments. The successful application of these personnel scheduling tools, whether developed in-house or purchased from vendors, requires appreciation of the interrelationships of three basic manpower decisions--staffing, personnel scheduling, and allocation. This article introduces these basic relationships and their influence on the development of satisfactory personnel schedules. Next, it reviews published personnel scheduling algorithms, applicable to hospital operations, within the context of the three manpower decisions. It is proposed that scheduling algorithms be classified by type of schedule produced (cyclic or noncyclic); and technique used (heuristic, mathematical programming, or self-scheduling). The characteristics of each classification are discussed. Considerations for the development of new personnel scheduling algorithms are also presented.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 2","pages":"8-23"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12922961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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